Blaine Health Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BLAINE HEALTH SERVICES LLC

Practice address

13250 Nassau CT NE
Blaine, MN 55449-4989

Phone

(763) 318-5008

NPI assigned

Nov 7, 2024

Last updated

Nov 18, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Valentine B ObwogiNPI 1669282299

Title

Owner/Ceo

Phone

(763) 318-5008

Specialties & licenses 5

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Valentine Bitutu Obwogi

  • Home Health Aide
  • Blaine, MN
  • NPI 1669282299
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1083438923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13250 NASSAU CT NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554494989",
            "telephone_number": "763-318-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13250 NASSAU CT NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554494989",
            "telephone_number": "763-318-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAINE HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "OBWOGI",
        "authorized_official_first_name": "VALENTINE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "763-318-5008"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Blaine Orthodontics

• Home Health Agency in Blaine, MN
• Providers in Blaine, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.